110 HUMC On-site Registration
Station Number
*
Station 1
Station 2
Station 3
Station 4
Station 5
Station 6
Station 7
Station 8
Conference Type
Ministers' Conference
Choir Guild Workshop
Gender
Male
Female
Age Group
18-50
51-64
65+
Are you a H.U. Alumni?
Yes
No
What Class Year? (If you are a H.U. Alumni)
Name
First Name
Last Name
Title/Position
Address
City
State
Zip
Email
example@example.com
Phone Number
Please enter a valid phone number.
Fax
Please enter a valid phone number.
Title/Section
Church Denomination
Name of Church/Business
Address
City
State
Zip
Seminary Student
Back
Next
Please reserve the following campus rooms:
Air-Conditioned (w/Roommate)
Unit Price: $200
Air-Conditioned (NO Roomate)
Unit Price: $400
$5 Laundry Card
Unit Price: $5
$10 Laundry Card
Unit Price: $10
Check here if you require wheelchair/Handicap Access
Handicap/Wheelchair Access
Roommate's Name
Meal Ticket
Yes
No
Full Plan Meal Ticket
Unit Price: $210
Modified Plan Meal Ticket
Unit Price: $145
Special Needs Requested
Back
Next
Registration Fee
Unit Price: $325
Seminary Student
Unit Price: $250
Music Packet
Unit Price: $80
Continuing Ed. Units
Unit Price: $250
On-Site Registration Fee
Unit Price: $350
On-Site Seminary Student
Unit Price: $275
Your name and title as it should appear on your ID badge
Payment Method
Money Order
Cashier's Check
Certified Check
Credit Card
Cash
Subtotal
Conference Fees Subtotal
Lodging/Meals Subtotal
Grand Total
Submit
Should be Empty: